Jennifer R Sellman, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2006013170 Issued in MO

Practice address

1061 Jones St
Kennett, MO 63857-3866

Phone

(573) 888-0303

Fax

(573) 888-0304

NPI assigned

Mar 31, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jennifer R Puckett Former name

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.sellman.1@7445.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southeast Health Center of Stoddard County, LLC

  • Rural Health Clinic/Center
  • Dexter, MO
  • NPI 1790828812

  Family Medicine

  Medicare reassignment NPD
• Southeast Health Center of Stoddard County LLC

  • Family Medicine Physician
  • Dexter, MO
  • NPI 1477997567
  NPD
• Southeast Health Center of Stoddard County, LLC

  • Rural Health Clinic/Center
  • Dexter, MO
  • NPI 1457660045

  Family Medicine

  NPD
• Willow Family Care

  • Family Medicine Physician
  • Kennett, MO
  • NPI 1841465689
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343001600000",
    "number": "1649390683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 JONES ST",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638573866",
            "telephone_number": "573-888-0303",
            "fax_number": "573-888-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 JONES ST",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638573866",
            "telephone_number": "573-888-0303",
            "fax_number": "573-888-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLMAN",
        "first_name": "JENNIFER",
        "middle_name": "R",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-31",
        "last_updated": "2012-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2006013170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "PUCKETT",
            "middle_name": "R",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Peggy Lee Schuler, PA-C
• Tina Marie Scott-Barnes, A.A.
• Donna J. Seal, LCSW
• Ethan Matthew Seats
• Marissa Jeree Sebastian, BS,BA,CC
• Semo Drug of Kennett
• Semo Drugs of Kennett Inc
• Semo Medical Equipment LLC
• Karl Erik Shanstrom, DO
• Wesley Kyle Shatley

• Family Medicine Physician in Kennett, MO
• Providers in Kennett, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.